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. 2019 Dec 12;2019(12):CD011927. doi: 10.1002/14651858.CD011927.pub2

Graff‐Radford 1989.

Methods Design: randomised controlled trial
Setting: outpatients, single centre
Country: USA
Participants Sample size/available for analysis: 60/losses were not reported
Gender: 45 males/15 females
Age: Mean 43.3 years (range 20 to 84)
Duration of disease (weeks, mean and SD): not reported
Inclusion criteria: “For inclusion in the study subjects had to have clinically active TPs which reproduced their pain complaint when palpated.”
Exclusion criteria: not reported
Interventions Group 1: TENS "rate 2 Hz, pulse width 250 psec, delivered in an asymmetrical rectangular biphasic wave form (cathode phase), with zero net DC current, and an intensity set to the strongest tolerable sensation with muscular contraction (approximately lo‐40 mA)." N = 12
Group 2: TENS "rate 100 Hz, pulse width 250 psec, delivered in an asymmetrical rectangular biphasic wave form (cathode phase), with zero net DC current, and an intensity set to the patients comfort, below the threshold of muscular contraction (less than 39 mA)." N = 12
Group 3: TENS "rate 100 Hz, pulse width 50 psec, delivered in an asymmetrical rectangular biphasic wave form (cathode phase), with zero net DC current, and an intensity set to the patients comfort, below the threshold of muscular contraction (less than 39 mA)."
Group 4: TENS "also termed the Pain Suppressor unit offers a low output amperage (max 4 mA), and 15 msec bursts of high frequency pulses (120%20,000 Hz rectified to a monophasic wave) with a burst frequency of 15 Hz. The intensity set at a level just below that perceived by the subject at a low amperage of approximately 1‐4 mA." N = 12
Group 5: control "this group was divided into 2 groups, 6 received placement of the Staodynamics unit, and the remaining 6 subjects, the Pain Suppressor unit. The battery was not in place in the control group TENS devices. TENS lasted 10 min and the electrodes were placed bilaterally at the same location, with the negative electrode over the active TP." N = 12
Treatment duration: one session (10 minutes)
Follow‐up duration: the assessment was made after the intervention
Outcomes Primary outcomes
  • Pain (VAS and algometer scores)

Notes Funding sources: not reported
Conflict of interest: not reported
Full text language: English
Reason for awaiting classification: it is not clear if the population included chronic neck pain
Action: we contacted authors asking for separate data on chronic participants (duration of symptoms longer than 12 weeks) (by email ‐ graffs@cshs.org ‐ on 22 October 2019. The authors did not reply.